乳腺癌放疗患者心理韧性的现状及影响因素分析

Status of psychological resilience and its influencing factors in breast cancer patients undergoing radiotherapy

目的探讨乳腺癌放疗患者心理韧性的现状，并分析其影响因素。方法采用便利抽样法，选取于2017年1-12月在某三甲医院放疗科进行放射治疗的120例乳腺癌患者作为研究对象。采用一般资料调查表、中文版Connor-Davidson心理韧性量表（CD-RISC）以及领悟社会支持量表（PSSS）对患者进行调查，采用单因素分析、Pearson相关分析以及多元线性回归分析乳腺癌放疗患者心理韧性的影响因素。结果共回收有效问卷112份。乳腺癌放疗患者心理韧性总分（50．31±12．53）分，自强、坚韧和乐观3个维度的得分分别为（17．23±3．53）、（24．63±6．84）、（8．93±2．32）分。年龄、文化程度、是否存在并发症以及领悟社会支持水平是患者心理韧性的影响因素（P〈0．05）。结论乳腺癌放疗患者心理韧性处于中等水平，医护人员应根据患者的具体情况给予更有针对性的干预措施，为患者提供更多社会支持，改善患者的心理韧性水平。

Objective To investigate the psychological resilience in breast cancer patients undergoing radiotherapy, and analyze its influencing factors. Methods A total of 120 cases of breast cancer patients undertaking radiation therapy in the radiation department of a Class Ⅲ Grade A hospital from January to December 2017 were collected by convenience sampling method. General information questionnaire, the Chinese version of Connor-Davidson Resilience Scale （CD-RISC） and Perceived Social Support Scale （PSSS） were applied to investigate patients. Single factor analysis, Pearson correlation analysis and multiple linear regression analysis were used to analyze the influencing factors of psychological resilience in patients with breast cancer undergoing radiotherapy. Results A total of 112 valid questionaires were collectod. The total score of psychological resilience of breast cancer patients was （50.31±12.53）, and the scores of self-strengthening, tenacity and optimism were （17.23±3.53）, （24.63±6.84） and （8.93±2.32） respectively. Age, education level, presence of complications, and perceived social support are the main factors affecting patients＇ psychological resilience. Conclusions Psychological resilience of breast cancer patients was at the moderate level. Medical staff should give more targeted interventions according to the specific conditions of patients, provide more social support for patients, and improve the psychological resilience of patients.